| Shannon Patrice Valenzuela, MD | |
|
13634 N. 93rd Ave, Suite 100, Peoria, AZ 85381 | |
| (623) 933-0301 | |
| (623) 933-0224 |
| Full Name | Shannon Patrice Valenzuela |
|---|---|
| Gender | Female |
| Speciality | Pulmonary Disease |
| Experience | 33 Years |
| Location | 13634 N. 93rd Ave, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134118995 | NPI | - | NPPES |
| 22718 | Other | AZ | STATE LICENSE |
| 380113 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 22718 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 22718 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Craig M Rundbaken Do Pllc | 8628982741 | 8 |
| Entity Name | Craig M Rundbaken Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821279308 PECOS PAC ID: 8628982741 Enrollment ID: O20031113000543 |
| Entity Name | Sunrise Medical Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326161548 PECOS PAC ID: 4880586437 Enrollment ID: O20040327000263 |
| Entity Name | Nimbus Health Three Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497523815 PECOS PAC ID: 9739528472 Enrollment ID: O20240415002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Patrice Valenzuela, MD 13634 N. 93rd Ave, Suite 100, Peoria, AZ 85381 Ph: (623) 933-0301 | Shannon Patrice Valenzuela, MD 13634 N. 93rd Ave, Suite 100, Peoria, AZ 85381 Ph: (623) 933-0301 |
Moustafa Banna, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Akshay Vijay Shah, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 122, Peoria, AZ 85381 Phone: 623-773-1161 Fax: 623-773-1181 | |
Brent Smoots, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 15525 N 83rd Ave Ste 104, Peoria, AZ 85382 Phone: 877-809-5092 | |
Wilbur Knowlton Freeman Iii, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive Ste. J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Gilbert Ortega, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13965 N 75th Ave, Peoria, AZ 85381 Phone: 602-734-0252 | |
Manoj Rawal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168 | |
Dr. Robert R Orr, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 9171 W Thunderbird Rd, Suite 101, Peoria, AZ 85381 Phone: 623-815-7800 Fax: 623-815-7900 |